CareFirst BlueCross BlueShield - Frequently Asked Questions
CareFirst BlueCross BlueShield  
About Us Careers Contact Us Glossary Media Center Search the CareFirst Site
Providers and Physicians
Resources and Seminars Electronic Services Medical Policies Prescription Drugs Forms
CareFirst.com Providers & Physicians HIPAA FAQs
HIPAA

Frequently Asked Questions

HIPAA Overview | Transaction Standards | Privacy Standards | Security Standards |
Unique Identifiers | FAQs


HIPAA Overview
What is HIPAA?
Who is a covered entity?
What is a business associate?
Where can I get the latest information on HIPAA?
Whom can I contact for more information about CareFirst's compliance?

Privacy
What has CareFirst done to comply with the Privacy regulation?
How are members affected by the Privacy regulation?
How are providers affected by the Privacy regulation?
How are employer-sponsored group health plans or other plan sponsors of group health plans affected by the Privacy regulation?
How are brokers and agents affected by the Privacy regulation?

Security
What is CareFirst doing to address the Security regulations?
Does CareFirst have a Security Official?
Does CareFirst have Entity Authentication capability?
When did CareFirst perform a penetration test?
How often are security tests conducted?
Does CareFirst have a contingency/disaster plan that provides for the protection of PHI in the event of an emergency?
Do you have chain-of-trust agreements with subcontractors and business partners?
How often do you conduct security awareness training?
Do you have documented physical security processes and procedures?

Transaction and Code Sets
Is CareFirst compliant with the HIPAA Transactions and Code Sets (TCS) regulation?
What has CareFirst done to address this regulation?
Can I test HIPAA Electronic Data Interchange (EDI) Transactions with CareFirst?

Solution Center
Need Claim Status or Eligibility?
Phone Numbers and Claim Addresses
Provider Manuals
Register for a Seminar - Professional, Institutional, Dental
Find a Doctor
Find My Provider Representative - Professional, Ancillary & Institutional, Dental
Credentialing
Update Practice Information PDF
Thomas/Love Settlement
Disease Management
Center for Provider Education & Training
Pay for Quality Programs:
<empty> CareFirst Quality Rewards - Surgeons
<empty> CareFirst Quality Rewards
National Provider Identifiers (NPI)
Options Discount Program - Alternative Therapies, Vision, Hearing and More
Health and Wellness -
My Care First (En Español)
HIPAA
News & Updates

Reminder to Ophthalmologists

Dental Fee Schedule Modification effective 1/1/2010

New Provider CDH Training Module Available

Important Policy Updates Regarding H1N1

Hearing Aid Fee Schedule Update and Policy Change

State of MD Claims - New Addresses

2009 Provider Reimbursement Changes

NASCO Referrals

Receive News Via E-mail

Prescription Drug News

Nutritional Supplements and Over-the-Counter FDA Safety Information

Newsletters

Latest News & Archives
Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.